Individual
AMANDA KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1243 S CEDAR CREST BLVD STE 2800, ALLENTOWN, PA 18103-6230
(610) 402-3422
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
DN007882
PA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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